Organization
MELANIE WELCH, FNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE WELCH FNP (OWNER / AUTHORIZED OFFICIAL)
(318) 306-0471
Entity
Organization
Contact information
Practice address
1420 BLANKENSHIP DR., DERIDDER, LA 70634
(337) 460-9472
Mailing address
PO BOX 236, ELIZABETH, LA 70638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09452
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2455656
—
LA
01
—
592859YQCD
MEDICARE
LA
Enumeration date
02/06/2018
Last updated
07/12/2021
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